James R Allen, DC
Individual provider Active NPI Chiropractor · Milford, CT
NPI 1912976192 · NPPES record last updated Sep 7, 2010
Key facts
- NPI
- 1912976192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 316 (CT)
- Practice address
- 16 Red Bush Lane
Milford, CT 06460 - Phone
- (230) 877-5626
- Fax
- (203) 877-5626
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16 Red Bush Lane
Unit 2
Milford, CT 06461-9004
32 Commodore Hull Dr
Derby, CT 06418-2255
Phone (203) 305-2728
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101102001485 | CT | Practitioner - Chiropractic | 7315131406 | Practice locations: Derby, CT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Chiropractic Office | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 316 | CT | Yes |
Addresses
Primary practice location
16 Red Bush Lane
Milford, CT 06460
Mailing address
16 Red Bush Lane
Milford, CT 06460
Phone (230) 877-5626
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4050613 | Medicaid | CT | |
| P520311 | Other | OXFORD | |
| 1020367 | Other | AMERICAN SPECIALITY | |
| 05000V316CT01 | Other | BCBS | |
| 0V4433 | Other | HEALTHNET |
Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.